Provider Demographics
NPI:1952692477
Name:ALIBHOY, NIMIRA SAMIR (DC)
Entity Type:Individual
Prefix:DR
First Name:NIMIRA
Middle Name:SAMIR
Last Name:ALIBHOY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28348 ROADSIDE DR STE 105
Mailing Address - Street 2:
Mailing Address - City:AGOURA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91301-2595
Mailing Address - Country:US
Mailing Address - Phone:805-244-6769
Mailing Address - Fax:
Practice Address - Street 1:28348 ROADSIDE DR STE 105
Practice Address - Street 2:
Practice Address - City:AGOURA HILLS
Practice Address - State:CA
Practice Address - Zip Code:91301-2595
Practice Address - Country:US
Practice Address - Phone:058-244-6769
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-02
Last Update Date:2021-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA31814111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor